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Putative facilitators and barriers for adherence to CPAP treatment in patients with obstructive sleep apnea syndrome: A qualitative content analysis
Linköping University, Department of Medicine and Health Sciences, Nursing Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Health Sciences, Division of Preventive and Social Medicine and Public Health Science. Linköping University, Faculty of Health Sciences.
Linköping University, Department of Medicine and Health Sciences, Cardiology . Linköping University, Faculty of Health Sciences. Östergötlands Läns Landsting, Heart Centre, Department of Cardiology.ORCID iD: 0000-0001-7431-2873
Linköping University, Department of Clinical and Experimental Medicine, Clinical Neurophysiology . Linköping University, Faculty of Health Sciences.
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2010 (English)In: SLEEP MEDICINE, ISSN 1389-9457, Vol. 11, no 2, 126-130 p.Article in journal (Refereed) Published
Abstract [en]

Introduction: Effective treatment of obstructive sleep apnea syndrome (OSAS) with continuous positive airway pressure (CPAP) can reduce morbidity and mortality, but adherence rates are low without a clear consensus Of causes. Objective: To explore the experiences of adherence to CPAP treatment in patients with OSAS. Methods: A qualitative content analysis was employed. Data were collected by in-depth interviews with 23 purposively selected patients. Results: Adherence to CPAP treatment was summarized according to "facilitators" and "barriers" to CPAP treatment. Facilitators for adherence, as described by the patients were a desire to avoid symptoms, knowledge about the risk for medical consequences, fear of negative social consequences and disturbing the sleep of significant others. Other facilitators were a positive attitude to CPAP treatment, trust in healthcare personnel, a sense of engagement from the spouse and a feeling of physical improvement. Barriers included experiencing practical problems, negative psychological effects of the equipment, and negative attitudes to the treatment. Other barriers were side-effects as well as insufficient support from healthcare personnel and the spouse. Conclusion: Adherence to CPAP treatment is a multifaceted problem including patient, treatment, condition, social and healthcare related factors. Knowledge about facilitators and barriers for adherence to CPAP treatment can be used in interventional Strategies.

Place, publisher, year, edition, pages
2010. Vol. 11, no 2, 126-130 p.
Keyword [en]
Obstructive sleep apnea syndrome, Continuous positive airway pressure, Adherence, Qualitative content analysis, Motivation, Self care
National Category
Medical and Health Sciences
Identifiers
URN: urn:nbn:se:liu:diva-54696DOI: 10.1016/j.sleep.2009.04.010ISI: 000275584500004OAI: oai:DiVA.org:liu-54696DiVA: diva2:308435
Available from: 2010-04-06 Created: 2010-04-06 Last updated: 2013-09-18

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Broström, AndersNilsen, PerJohansson, PeterUlander, MartinStrömberg, AnnaSvanborg, Eva

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Broström, AndersNilsen, PerJohansson, PeterUlander, MartinStrömberg, AnnaSvanborg, Eva
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Nursing ScienceFaculty of Health SciencesDivision of Preventive and Social Medicine and Public Health ScienceCardiology Department of CardiologyClinical Neurophysiology Department of Neurophysiology UHL
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